重症监护病房护士的知识和实践与预防呼吸机相关肺炎有关 跨部门研究
Nesreen Alqaissi1, Mohammad Qtait1
1Faculty of Nursing, Palestine Polytechnic University, Hebron, Palestine.
SAGE open nursing
|September 8, 2025
概括
重症监护室 (ICU) 护士对呼吸机相关肺炎 (VAP) 预防策略具有中等知识,但高度遵守. 需要有针对性的教育来改善VAP预防,因为知识和合规性并没有很强的相关性.
科学领域:
- 医疗保健研究的研究.
- 护理科学 护理科学
- 控制感染的方法
背景情况:
- 呼吸机相关肺炎 (VAP) 是ICU中的关键医疗相关感染,导致患者发病率和死亡率增加.
- 在ICU环境中,护士在实施VAP预防协议方面发挥着关键作用.
研究的目的:
- 评估ICU护士在希伯伦医院的VAP预防策略方面的知识和合规水平.
- 探索护士的人口特征及其VAP预防知识和合规性之间的潜在关联.
主要方法:
- 在6家希伯伦医院的160名ICU护士中进行了一项描述性的横截面研究.
- 数据收集涉及一个验证的自我管理问卷,评估VAP预防知识和合规性.
- 统计分析包括描述性统计,曼-惠特尼U,克鲁斯卡尔-瓦利斯测试和斯皮尔曼相关性.
主要成果:
- 护士表现出适度的VAP预防知识 (50.96%正确). 根据性别,医院类型和教育水平,知识差异很大.
- 总体上,对VAP预防策略的遵守率很高 (平均得分为2.55/3),特别是在手部卫生和患者定位方面.
- 私立医院的护士表现出显著更高的合规性 (P=.003),但知识和合规性没有显著的相关性 (P=.062).
结论:
- 尽管知识水平中等,但ICU护士对VAP预防的遵守程度很高.
- 缺乏强烈的知识-合规相关性表明,仅凭经验并不能保证遵守.
- 改善VAP预防需要有针对性的教育干预,协议标准化和机构支持.
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